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Illinois rates for HCPCS L5950

Addition Endoskeletal System Above Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.18 / $462.18 / $462.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.20 / $497.73 / $791.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.18 / $1,888.38 / $8,034.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.69 / $709.69 / $709.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.49 / $583.49 / $1,103.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.95 / $583.49 / $1,082.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.73 / $1,096.19 / $1,338.16
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.94 / $1,213.94 / $1,213.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.66 / $703.81 / $739.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.72 / $466.72 / $466.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.22 / $465.86 / $817.99